Active NPI
Florida Presbyterian Homes, Inc
- Nursing Facility/Intermediate Care Facility
- Lakeland, FL
National Provider Identifier
1962812545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- AL4790
- Legal business name
- FLORIDA PRESBYTERIAN HOMES, INC
- Practice address
- 901 Lakeside Avenue
Lakeland, FL 33803 - Phone
- (863) 688-5521
- Fax
- (863) 687-4088
- NPI assigned
- May 5, 2014
- Organization subpart
- Yes
- Parent organization
- FLORIDA PRESBYTERIAN HOMES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John M. Hehn Jr.
- Title
- Executive Director
- Phone
- (863) 577-6033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | AL4790 | FL | Primary |
Addresses
Primary practice location
901 Lakeside Avenue
Lakeland, FL 33803
Mailing address
16 Lake Hunter Drive
Lakeland, FL 33803
Phone (863) 688-5521
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2199406 | Florida Presbyterian Homes Inc | Certificate of waiver | Nov 8, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Florida Presbyterian Homes Inc
- Part of
- Florida Presbyterian Homes Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1609869825
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Lakeland, FL
- NPI 1609869825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399248000000",
"number": "1962812545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LAKE HUNTER DRIVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33803",
"telephone_number": "863-688-5521",
"fax_number": "863-687-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 LAKESIDE AVENUE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33803",
"telephone_number": "863-688-5521",
"fax_number": "863-687-4088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA PRESBYTERIAN HOMES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FLORIDA PRESBYTERIAN HOMES",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A",
"authorized_official_last_name": "HEHN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "863-577-6033",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "FL",
"license": "AL4790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.